VBS Registration

Please complete the Registration Form for each child you are sending to Vacation Bible School at Brown Street Baptist Church.


Name of Child	*
Address	*
City	*
State	*
Zip Code	*
Phone	*
E-mail Address
Emergency Contact	*
Emergency Phone	*
Child's Birthdate	*
Age of Child	*
Last Grade Completed	*
Parent/Guardian	*
Present Church Attending
Medical Condition/Allergies